NPIMap

Organization Active NPI

Husam Badr

Doing business as Sam Pharmacy and Health Food

  • Community/Retail Pharmacy
  • Greenville, SC
National Provider Identifier
1275686628
Registry record updated Nov 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
3416 Issued in SC
Legal business name
HUSAM BADR
Doing business as
Sam Pharmacy and Health Food
Practice address
1803 Augusta St Ste F
Greenville, SC 29605-2980
Phone
(864) 233-9532
Fax
(864) 233-2075
NPI assigned
Jan 19, 2007
Last updated
Nov 4, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Husam BadrNPI 1205881596
Title
Owner
Phone
(864) 233-9532

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X 3416 SC Primary

Addresses

Primary practice location

1803 Augusta St Ste F
Greenville, SC 29605-2980

Mailing address

1803 Augusta St Ste F
Greenville, SC 29605-2980
Phone (864) 233-9532

Other identifiers 2

IdentifierTypeStateIssuer
2090803OtherPK
734167MedicaidSC

Other names 1

  • SAM PHARMACY AND HEALTH FOOD Doing business as

National Provider Directory

National Provider Directory

Locations

1803 Augusta St
Ste F
Greenville, SC 29605
Phone (864) 233-9532

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478217600000",
    "number": "1275686628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1803 AUGUSTA ST STE F",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296052980",
            "telephone_number": "864-233-9532",
            "fax_number": "864-233-2075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1803 AUGUSTA ST STE F",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296052980",
            "telephone_number": "864-233-9532",
            "fax_number": "864-233-2075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUSAM BADR",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-19",
        "last_updated": "2016-11-04",
        "status": "A",
        "authorized_official_last_name": "BADR",
        "authorized_official_first_name": "HUSAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "864-233-9532"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "SC",
            "license": "3416",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2090803",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "734167",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SAM PHARMACY AND HEALTH FOOD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Greenville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.